MODESTA OBIAGELI ONYIA (NPI# 1013340520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013340520 |
| Entity Type | Individual |
| Full Name | MODESTA OBIAGELI ONYIA |
| Credential | FNP |
| Practice Address |
205 E University Ave Suite 157 Georgetown TX 78626-6814 |
| Mailing Address |
1913 Mesa Ct Garland TX 75040-8289 |
| Practice Telephone | 5128689078 |
| Practice Fax Number | 5128190646 |
| Mailing Telephone | 2146299639 |
| Mailing Fax Number | 9722784606 |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2013-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
679518 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
205 E UNIVERSITY AVE SUITE 157 |
| City | GEORGETOWN |
| State | TX |
| Zip Code | 78626-6814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962490870 | Kathleen Victoria Butler | Pediatrics | 205 E University Ave, Suite 200, Georgetown, TX 78626-6821 | 2005-10-13 |
| 1245501170 | Christine Lynn Ellis | Nurse Practitioner | 205 E University Ave, Suite 157, Georgetown, TX 78626-6814 | 2012-01-24 |
| 1699053249 | Holly Martin | Nurse Practitioner | 205 E University Ave, Suite 157, Georgetown, TX 78626-6814 | 2011-08-01 |
| 1114237179 | Ashley Nicole Walters- Snider | Nurse Practitioner | 205 E University Ave, Suite 200, Georgetown, TX 78626-6814 | 2010-10-08 |
| 1225262710 | Betty L Clark | Psychologist | 205 E University Ave, Suite 155, Georgetown, TX 78626-6814 | 2009-05-12 |
| 1336388560 | Brian Bezorgmehr Mozaffari | Psychiatry & Neurology | 205 E University Ave, Suite 200, Georgetown, TX 78626-6814 | 2009-02-11 |
| 1568626430 | Jaclyn Richards | Pediatrics | 205 E University Ave, Suite 200, Georgetown, TX 78626-6814 | 2008-07-10 |
| 1174782049 | Tin Wai Judy Koo | Psychiatry & Neurology | 205 E University Ave, Suite 200, Georgetown, TX 78626-6814 | 2008-06-05 |
| 1952582587 | Lone Star Circle of Care | Clinic/Center | 205 E University Ave, Suite 200, Georgetown, TX 78626-6814 | 2007-11-26 |
| 1962683599 | Lone Star Circle of Care | Clinic/Center | 205 E University Ave, Suite 200, Georgetown, TX 78626-6814 | 2007-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932603230 | Danietra Mcgrue | Home Health Aide | 108 Blue Waterleaf Ln, Georgetown, TX 78626 | 2018-03-21 |
| 1588175673 | Kristin Marie Alaniz | Nurse Practitioner | 2112 Sw H K Dodgen Loop, Suite 110, Georgetown, TX 78626 | 2017-10-17 |
| 1669865275 | Stephen Harris | Counselor | 101 W Cooperative Way Ste 100, Georgetown, TX 78626 | 2015-03-07 |
| 1356739080 | Craig Crossman | Physical Therapy Assistant | 705 E 13th St, Georgetown, TX 78626 | 2015-01-05 |
| 1679977318 | Nancy Krenek | Physical Therapist | 2050 Rockride Ln., Georgetown, TX 78626 | 2014-10-09 |
| 1275956807 | Georgetown Behavioral Health Institute, LLC | Psychiatric Hospital | 3101 S. Austin Avenue, Georgetown, TX 78626 | 2014-02-03 |
| 1184056954 | Rock Springs, LLC | Psychiatric Hospital | 700 Southeast Inner Loop, Georgetown, TX 78626 | 2013-08-05 |
| 1447691936 | Brandon Michael Hoffman | Dentist | 1821 Westinghouse Road, Suite 1130, Georgetown, TX 78626 | 2013-07-11 |
| 1235422932 | Erica Marie Edgington | Nurse Anesthetist, Certified Registered | Westlake Anesthesia Group, Pa, 1004 South Rock Street, Georgetown, TX 78626 | 2011-05-27 |
| 1356570907 | Grace Salone | Optometrist | 950 W University Ave Ste 108, Georgetown, TX 78626 | 2009-07-03 |
| Find all providers in zip 78626 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528672292 | Megan Gresham | Nurse Practitioner | 20099 Office Cir Ste 208, Georgetown, DE 19947-3196 | 2020-09-01 |
| 1922619584 | Shawn Marie Kraus | Nurse Practitioner | 2000 Fm 1460 Apt 7201, Georgetown, TX 78626-4478 | 2020-08-16 |
| 1063022465 | Whitney Elizabeth Bauer | Nurse Practitioner | 112 Mallory Ln, Georgetown, KY 40324-1282 | 2020-07-31 |
| 1891311338 | Abby Hiller | Nurse Practitioner | 313 Square Bnd, Georgetown, TX 78633-4674 | 2020-06-20 |
| 1891311791 | Community Medical Center LLC | Nurse Practitioner | 5300 State Road 64 Ste 101, Georgetown, IN 47122-9178 | 2020-06-17 |
| 1801419213 | Megan Patrick | Nurse Practitioner | 3293 Center Rd, Georgetown, SC 29440-6792 | 2020-05-20 |
| 1962046284 | Christopher Earl Jaisingh | Nurse Practitioner | 1103 Rivery Blvd Ste 145, Georgetown, TX 78628-3034 | 2019-10-30 |
| 1083262059 | Bridget J. Pennell | Nurse Practitioner | 117 Village Blvd, Georgetown, KY 40324-8517 | 2019-09-03 |
| 1366902223 | Leslie Robin Duff | Nurse Practitioner | 1076 Degaris Mill Rd, Georgetown, KY 40324-9724 | 2019-03-25 |
| 1518422047 | Ray of Hope Recoveries Inc | Nurse Practitioner | 104 Canewood Center Dr Ste 3, Georgetown, KY 40324-8043 | 2019-02-08 |
| Find all providers in GEORGETOWN | ||||
| City | GEORGETOWN |
| Zip Code | 78626 |
Please comment or provide details below to improve the information on MODESTA OBIAGELI ONYIA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.